Individual provider Active NPI

Kimberly R Neely, GNP

  • Gerontology Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1841239738
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP107482 Issued in TX
Practice address
4201 Interway PL
Arlington, TX 76018-5668
Phone
(972) 978-2317
Fax
(800) 782-4295
NPI assigned
Jun 6, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP107482 TX Primary
Gerontology Registered Nurse 163WG0600X 631908 TX

Addresses

Primary practice location

4201 Interway PL
Arlington, TX 76018-5668

Mailing address

6420 La Paz Ranch Rd
Midlothian, TX 76065-7287
Phone (972) 903-4343

Other practice location 1

661 E Main St Ste 200
Midlothian, TX 76065-3365
Phone (972) 903-4343

Other identifiers 2

IdentifierTypeStateIssuer
BC/BSOtherTN8N7188
117391607MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040515000194 TX Practitioner - Nurse Practitioner 5698765204 Reassigns benefits to 4 organizations
I20240325000713 MO Practitioner - Nurse Practitioner 5698765204

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 S Collins Rd
Sunnyvale, TX 75182-4624
Phone (214) 530-0951

403 W Campbell Rd
Suite 310 Methodist Richardson
Richardson, TX 75080-3466
Phone (469) 204-6850

705 E Marshall Ave
Suite 1004 Christus Good Shepherd
Longview, TX 75601-5573
Phone (903) 315-3880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
63190TXMDClinical Social Worker
631908TXMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Pharm, PLLC Gerontology CurrentSince Oct 12, 2025 Accepting new patients
RRR Hyperbarics 4, LLC CurrentSince Aug 7, 2024 Accepting new patients
Advanced Health Revision PLLC Gerontology CurrentSince Jun 1, 2023 Accepting new patients
Advanced Wound Care of North Texas PLLC CurrentSince Sep 12, 2023 Accepting new patients
Matthew Pompeo, MD, PA CurrentSince Oct 6, 2003 Accepting new patients
Family Practice House Calls PA Past Accepting new patients
Dallas Hospitalist, PA Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Jeffrey a Stone DO PA Past Accepting new patients
Alan G Kaye & Associates PA Past Accepting new patients

Locations

7230 Crawford Rd
Argyle, TX 76226
Phone (682) 683-2300

4150 N Collins St
Arlington, TX 76005
Phone (817) 337-6604

4201 Interway Pl
Arlington, TX 76018
Phone (817) 652-9192

13154 Coit Rd
Ste 102D
Dallas, TX 75240
Phone (469) 726-2287

7955 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 583-6817

8198 Walnut Hill Ln
Ste A
Dallas, TX 75231
Phone (214) 345-8000

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

3101 Churchill Dr
Ste 100
Flower Mound, TX 75022
Phone (682) 253-1637

4545 Heritage Trace Pkwy
Ste 1500
Fort Worth, TX 76244
Phone (817) 337-6604

1720 FM 544
Ste 100
Lewisville, TX 75056
Phone (817) 337-6604

705 E Marshall Ave
Ste 1004
Longview, TX 75601
Phone (903) 315-3880

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

661 E Main St
Ste 200
Midlothian, TX 76065
Phone (972) 903-4343

9151 Boulevard 26
Ste 150B
North Richlnd Hls, TX 76180
Phone (682) 683-2300

403 W Campbell Rd
Ste 310
Richardson, TX 75080
Phone (469) 204-6850

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Interoperability endpoints

  • Direct secure messaging: kneely21830@direct.texashealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1841239738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 LA PAZ RANCH RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657287",
            "telephone_number": "972-903-4343",
            "fax_number": "972-903-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 INTERWAY PL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760185668",
            "telephone_number": "972-978-2317",
            "fax_number": "800-782-4295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760653365",
            "country_code": "US",
            "telephone_number": "972-903-4343",
            "fax_number": "800-782-4295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP107482",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "TX",
            "license": "631908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8N7188",
            "identifier": "BC/BS",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117391607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.